For patients with mild to moderate aortic stenosis or those who are asymptomatic, the initial approach often involves careful monitoring and conservative management. This strategy includes regular check-ups with a cardiologist, periodic echocardiograms to assess the progression of valve narrowing and management of other cardiovascular risk factors. Patients are educated about the symptoms of aortic stenosis progression and advised to report any new or worsening symptoms promptly. In some cases, medications may be prescribed to manage related conditions such as high blood pressure or to alleviate symptoms, although it’s important to note that there are no medications that can reverse the narrowing of the aortic valve.

Surgical aortic valve replacement (SAVR) has been the best way to treat severe aortic stenosis with symptoms for a long time. The blocked aortic valve is removed, and either a mechanical or biological prosthetic valve is put in its place during this open-heart surgery. SAVR is typically performed under general anesthesia and requires the use of a heart-lung machine. The choice between mechanical and biological valves depends on factors such as the patient’s age, overall health, and ability to take long-term anticoagulation medication. While SAVR is a major surgery with a significant recovery period, it has proven to be highly effective in improving symptoms and extending life expectancy for patients with severe aortic stenosis.

In recent years, transcatheter aortic valve replacement (TAVR) has emerged as a less-invasive alternative to SAVR for many patients. This procedure involves delivering a collapsible replacement valve to the heart through a catheter, typically inserted through the femoral artery in the groin. Once in position, the new valve is expanded, pushing the old valve leaflets aside and taking over the job of regulating blood flow. TAVR was initially approved for high-risk or inoperable patients, but its use has expanded to include intermediate and even low-risk patients in many cases. The minimally invasive nature of TAVR often results in shorter hospital stays and quicker recovery times compared to SAVR.

In some cases, particularly as a bridge to more definitive treatment or for temporary symptom relief, balloon aortic valvuloplasty may be considered. This procedure involves inserting a balloon catheter into the narrowed aortic valve and inflating it to stretch the valve opening. While this can provide temporary improvement, the valve typically narrows again within a few months to a year. As such, balloon valvuloplasty is generally not considered a long-term solution for most adult patients with aortic stenosis, but it may be useful in certain clinical scenarios or in pediatric patients.

If you have other questions, we are happy to help. CVG provides comprehensive, compassionate care that features these benefits:

Comprehensive care from top cardiologists. Please review the details about cardiac tests and procedures on this page on our website. With this information and our Atlanta cardiologists’ expertise, we can work together to ensure your heart health. At all CVG locations, you can get ten heart care services. These include full diagnostic tests, treatments, and procedures that cover every aspect of cardiac care.

State-of-the-art, expert cardiac care that treats you with dignity. When you make an appointment, we focus on your specific needs. Your voice will be heard as an active participant in your care. We treat your heart and provide care with dignity and respect.

Open communication makes everything better. You can get the care you need at CVG because we clearly explain your treatment options and use an easy-to-understand billing system. We make it simple for you to talk to us, view your records, and get test results.

CVG offers eleven convenient Atlanta-area locations. Whichever CVG location you choose, you will find top cardiologists dedicated to providing exceptional care. We will encourage you and support your health throughout your time with us.

To learn more, please call (770) 962-0399 or 678-582-8586. You may also request an appointment online. If you have an emergency, don’t contact us online; please call 911.